Individual
DR. ANTHONY FRED GUIDARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
622 MICHIGAN AVENUE, SCHENECTADY, NY 12303
(518) 372-6401
(518) 372-1612
Mailing address
PO BOX 3452, SCHENECTADY, NY 12303
(518) 372-6401
(518) 372-1612
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
1055921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00527353
—
NY
01
—
10000819
CDPHP
NY
01
—
18115
MVP
NY
01
—
COS1055920
WCB
NY
Enumeration date
07/17/2006
Last updated
07/08/2007
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